| NPI | 1740833532 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility |
| Additional Taxonomies | 251J00000X Nursing Care |
| 3140N1450X Skilled Nursing Facility, Nursing Care, Pediatric | |
| 332BN1400X Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies | |
| 376G00000X Nursing Home Administrator | |
| Enumeration Date | 2019-07-20 |
| Last Update Date | 2019-08-20 |